Individual provider Active NPI

Barry Lewis Zimmerman, D.O.

  • Neurology Physician
  • Toms River, NJ
National Provider Identifier
1467433912
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB04607300 Issued in NJ
Practice address
40 Bey Lea Rd
BLDG C Suite 103
Toms River, NJ 08753-2900
Phone
(732) 367-8280
Fax
(732) 367-1529
NPI assigned
Nov 10, 2005
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MB04607300 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
BLDG C Suite 103
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
BLDG C-103
Toms River, NJ 08753-2900
Phone (732) 367-8280

Other identifiers 1

IdentifierTypeStateIssuer
0601004MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000480 NJ Practitioner - Neurology 1456346493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB04607300NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Nov 1, 2014 Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
KMC Eeg Department Group Neurology Past Accepting new patients

Locations

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1467433912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BLDG C-103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-367-8280",
            "fax_number": "732-367-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BLDG C SUITE 103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-367-8280",
            "fax_number": "732-367-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "BARRY",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB04607300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.